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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405027
Report Date: 06/21/2023
Date Signed: 06/21/2023 01:50:23 PM

Document Has Been Signed on 06/21/2023 01:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:NEIGHBORHOOD SCHOOL AT KENSINGTON ELEMENTARYFACILITY NUMBER:
073405027
ADMINISTRATOR:CARD, G & NGUYEN, LFACILITY TYPE:
840
ADDRESS:90 HIGHLAND BLVDTELEPHONE:
(510) 526-5871
CITY:KENSINGTONSTATE: CAZIP CODE:
94708
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: 0DATE:
06/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jeanne RehrigTIME COMPLETED:
01:45 PM
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On 6/21/23, Licensing Program Analysts (LPAs), Melissa Guirit and Melissa Domantay arrived at the facility for an unannounced inspection to verify which rooms are being utilized by the school age program. LPAs met with Director, Jeanne Rehrig. There were no children present during today's inspection. The owner arrived at the facility 20 minutes after LPAs arrived. Per owner, the school age component will be utilizing Room 11, Room 19, Room 4, Multi-purpose Room, and Portable 1. Measurements are not needed for rooms since the school age program is on an existing school site. However, owner will need to submit an application requesting the adding of Room 11, Room 4, and Portable 1 with an updated fire clearance approval.

The additional rooms will remain pending until application is received. There were no deficiencies cited during today's inspection. Notice of Site Visit was provided. Exit interview and report discussed with Director, Jeanne Rehrig.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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